DR. FREDERICK RAY SWAIN D.D.S. NPI 1659374452

NPI Information

NPI: 1659374452
Provider Name: DR. FREDERICK RAY SWAIN, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
4010 DUPONT CIR
STE 529
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-3239
Get Directions

DR. Frederick Ray Swain, D.D.S. is a pediatric dentistry dentist in Louisville, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Frederick Ray Swain, D.D.S. NPI is 1659374452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4010 DUPONT CIR
STE 529
LOUISVILLE, KY
ZIP 40207-888
Phone: (502) 897-3239
Fax: (502) 897-3476

The NPI 1659374452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/24/2005 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	4519	KENTUCKY	No
2	1223P0221X	Dentist	Pediatric Dentistry	4519	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60045192	OTHER	KENTUCKY	MEDICAL ASSISTANCE
2	100010800A	OTHER	INDIANA	MEDICAL ASSISTANCE
3	200448	OTHER	INDIANA	CRIPPLED CHILDREN'S SERVI
4	4507	OTHER	KENTUCKY	MEDICAL ASSISTANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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